Clinical Psychology Residency Program
About
The Madigan Army Medical Center Clinical Psychology Residency Program (CPRP) is a year-long, full-time APA-accredited post-doctoral residency program. We endorse a practitioner-scholar model of training and development. Emphasis is placed on leadership development, increasing competence as an Army officer, and understanding and applying scholarly findings to practice. We aim to prepare psychologists for independent practice and leadership within a broad range of settings across the military environment. The CPRP provides advanced training in the professional skills of diagnosis, treatment, assessment, consultation, and supervision.
Training Goals and Objectives
The primary aim of the Clinical Psychology Residency Program (CPRP) is to develop autonomous general practitioner psychologists capable of managing common challenges in both military and civilian practice while forming a professional identity as a clinical psychologist. Training focuses on mastery of traditional clinical skills in therapy, assessment, consultation, empirically based clinical decision making, and building upon skills established during the internship year, with a specific focus on application of knowledge to leadership within a military environment and with a military population. Weekly training requirements generally total 45-50 hours per week.
Competencies
The residency training program is designed to foster the development of a number of core competencies identified by the American Psychological Association (APA) Standards of Accreditation, as well as program specific competencies identified by the Army Clinical Psychology Residency Programs as essential to the practice of clinical psychology within an Army setting. The Assessment of Competency Benchmarks Work Group convened by the APA Board of Educational Affairs in collaboration with the Council of Chairs of Training Councils (CCTC) identified developmental domains that occur at every stage of professional development. These domains are not mutually exclusive and naturally overlap and interrelate and helped inform the competencies. Below are the competency domains for the residency program:
Profession-Wide Competencies:
- Integration of Science and Practice
- Ethics and Legal Standards
- Individual and Cultural Diversity
Program-Specific Competencies:
- Professional values, attitudes, and behaviors
- Communication and interpersonal skills
- Assessment
- Intervention
- Consultation
- Supervision
- Teaching/Presenting
- Military Competency
Training Activities
Residents participate in three required rotations for a total of 9 months, with an additional 3 months spent on an elective rotation. The three required rotations are Embedded Behavioral Health (5 months), Advanced Assessment (2 months), and Psychological Health Intensive Outpatient Program (2 months). Residents will be able to choose one of the following elective rotations: Special Operations Psychology, Neuropsychology, Health Psychology, or Pediatric Psychology.
Throughout the year, residents attend weekly didactics covering topics such as advanced assessment, military briefing, leadership and professional development, clinical informatics, 68X training, and others. Ethics, culture and diversity, military psychology, and other areas are integrated throughout these trainings. Residents are challenged to consider ethical, cultural, diversity and military-specific considerations throughout training experiences. Residents participate in case conferences, special topics presentations, and workshops from invited speakers. To build competency as Army Officers, residents have opportunities to participate in operational experiences and military-specific trainings throughout the year.
Our program adheres to the practitioner-scholar model. Incorporating peer-reviewed research and empirically supported treatments, with an emphasis on sound clinical decision making, is essential to our training. Residents are encouraged to develop and utilize their critical thinking skills, knowledge of the scientific literature, and ability to evaluate new research findings as a basis for clinical interventions. Residents will be asked to learn and apply research-based methods and ideas throughout the didactic series and in supervised clinical experiences.
National Consultants:
A particular strength of the Army Clinical Psychology Residency Programs is the ability, every year, to attract psychologists and researchers of national stature to present training workshops on topics such as suicide prevention and intervention, ethics, cultural competence, MMPI-2-RF interpretation, MMPI-3 interpretation, Prolonged Exposure, Cognitive Behavioral Therapy for Insomnia, and other psychological topics.
Supervision:
Residents receive a minimum of 2.5 hours of face-to-face supervision with their primary supervisor weekly. Residents also receive 1.5 hours of weekly group supervision. Residents will also be able to select a past or present faculty member for mentorship.
EPPP and Licensure:
Residents are expected to pass the EPPP and complete all requirements for licensure by the end of the training year. To facilitate this, residents receive structured support, dedicated study time, and preparation materials at no cost. Madigan residents have maintained a 100% EPPP pass rate before the end of the training year, with many completing this requirement very early in their training year.
Population:
Military behavioral health serves a very diverse population that includes Active Duty; Reserve and National Guard Service Members, spouses, children, retired military and their family members.
Clinical Rotations
Please note that due to COVID-19, we reserve the right to modify our training activities to promote health and safety.
Residents will complete 3 required rotations, comprising 9 months of the training year:
Embedded Behavioral Health (5 months)
Residents are placed with local (combat arms) unit’s Embedded Behavioral Health (EBH) Team during this rotation. They gain extensive administrative and leadership experience, including command consultation and clinical support in an operational setting. Residents may also engage in military specific training (physical training, field training exercises, etc.).
Advanced Assessment (2 months)
This rotation is designed to provide the resident exposure to a variety of assessment experiences, including military specific evaluations. During this rotation, an emphasis will be placed on improving the resident’s existing skills in psychological assessment and conducting administrative evaluations. The resident also will gain familiarization with and experience performing forensic, aeromedical, and fitness for duty evaluations, as well as suicide case reviews (as appropriate based on training, experience, and availability/type of cases).
Psychological Health Intensive Outpatient Program (2 months)
This rotations offers experiences to facilitate group-based treatments designed to provide a complete course of empirically supported treatment for psychological trauma, in an intensive outpatient setting. Residents may also have a chance to observe or co-facilitate the skills and resiliency group treatment track. Residents perform assessment and individual therapy, and assist the clinic chief with administrative and leadership tasks, PI project development, or other related tasks. There are often opportunities for the resident to provide double/layered supervision (i.e., resident supervises practicum students/psychology interns while under supervision).
Residents will choose a 3-month elective rotation to complete their training year:
Operational Psychology (3 months)
The general intent of this rotation is to build on clinical and leadership skills previously developed during internship and introduce operational psychology concepts and skills primarily utilized in Special Operation Forces’ Units. Special emphasis is placed on assessment and selection, operational consultation, military bearing and confidence, leadership and professional development.
Neuropsychology (3 months)
This rotation allows residents with a specific interest in learning more about neuropsychology and/or considering pursuing a career in neuropsychology to enhance their basic knowledge gained during internship. The rotation is expanded to include didactics on neuroanatomy, neuropathology, and additional neuropsychological tests to assess for a more diverse range of diseases and syndromes. Residents will have the opportunity to potentially see cases related to neurodegenerative diseases, stroke, cancer, seizure disorders, genetic conditions, and/or medical conditions that impact cognition, such as sleep apnea or chronic kidney disease.
Health Psychology (3 months)
Residents will gain experience with in the health psychology, bariatric evaluation, and sleep disorders clinics. Residents will perform assessment, individual and group treatment, and provide consultation to medical healthcare providers. There are also opportunities for psychological testing and biofeedback.
Pediatric Psychology (3 months)
Residents will receive training and experience necessary to screen for achievement problems, intellectual functioning, and psychopathology in children and adolescents. They will also be afforded the opportunity to rotate through multidisciplinary clinics such as the autism spectrum disorders clinic, and the infant/toddler clinic. Additional training in pediatric neuropsychology will be given. The goal of this rotation is to prepare generalist army psychologists who have, at a minimum, a working knowledge of family systems, a working knowledge of human development, the ability to identify risk/protective factors in children and adolescents, the knowledge and skills to screen for child/adolescent behavior/adjustment problems and provide education regarding child/adolescent concerns to families and other groups, the knowledge and skills to screen intelligence and academic achievement in school-aged youth, and the ability to provide basic consultative services regarding child and family needs.
Commitment to Diversity and Policy of Nondiscrimination
Madigan, the Behavioral Health Service Line (BHSL), and CPRP emphasize the importance of respecting, seeking out, and valuing diverse perspectives and opinions. As future psychologists, residents are expected to demonstrate cultural competence and cultural humility and be able to work with a variety of populations and individuals from a diverse range of backgrounds. Our training program is committed to fostering this competency among all residents.
CPRP does not discriminate on the basis of age, disability, ethnicity, gender, gender identity, language, national origin, race, religion, culture, sexual orientation, and socioeconomic status. Our program is committed to providing a learning environment for residents, faculty, and staff that is supportive and encouraging for all residents and that values individual differences and diversity factors. The Madigan Psychology Training Programs have a Diversity Committee comprised of faculty and trainees. This Committee advises the Programs to promote attention to diversity in terms of recruitment and retention of staff, faculty, and trainees; didactic training opportunities; supervision; direct service delivery opportunities; and the other educational activities that make up the Programs’ curricula.
Didactic and experiential training activities and supervision emphasize an understanding of cultural and individual differences and diversity as it relates to the profession of clinical psychology. As such, these areas of competency are interwoven throughout the educational activities in CPRP and are evaluated on each rotation. Residents are encouraged to highlight the integration of diversity competency throughout their practice of health service psychology by discussing these considerations during their case conference presentations, didactic conversations, and during individual and group supervision.
Madigan, DBH, and CPRP fall within federal regulation prohibiting discrimination. As such, several policies apply which dictate nondiscrimination in employment. These are described below, and can be found on the Office of Personnel Management web site.
- AR 600-20 (Army Command Policy) - Chapter six specifically details the equal opportunity policies of the United States Army.
- Executive Order 11478 - Under this Executive Order, it is the policy of the federal government to provide equal opportunity employment for all persons on the principle of merit and qualifications without discrimination because of race, religion, sex, color, age, national origin, disability, marital status, political affiliation, or any other nonmerit factor.
- Title 5 of the U.S. Code, Sections 2301 and 2303 - These sections classify the federal government’s merit system of principals, and prohibit discriminatory personnel practices within the federal government.
It is the policy of the Government of the United States to provide equal opportunity in federal employment for all persons, to prohibit discrimination in employment because of race, color, religion, sex, national origin, handicap, or age, and to promote the full realization of equal employment opportunity through a continuing affirmative program in each executive department and agency.
Madigan Army Medical Center and Local Area Information
Madigan Army Medical Center is a modern, state of the art, hospital serving more than 105,000 patients in the Puget Sound. With a staff of more than 5,200 Madigan provides primary and specialty medical care and services to Active Duty, Reserve, and National Guard Service Members, military retirees, and families.
The Behavioral Health Service Line has more than 50 experienced psychologists and many other behavioral health and support personnel. Madigan proudly houses the largest Department of Behavioral Health in the Army, with nearly 300 personnel. The Clinical Psychology Residency Program is a part of an impressive Graduate Medical Education community, consisting of 30 training programs operating across all patient care settings.
Located at Joint Base Lewis-McChord, Washington in the scenic Puget Sound Area, you can go from “sea-level to ski-level” in less than two hours. Seattle, Olympia, and Tacoma are each within an hour drive of the installation. Additionally, the cities of Portland, OR, Vancouver, BC, and Victoria, BC offer locales for convenient weekend trips. HBLM is nestled between the Puget Sound, Mount Rainier, and the Olympic Mountains. The climate tends to stay moderate throughout the year, with the temperature typically falling between 40–80 degrees.
The local area offers smaller towns and large urban cities and is full of amenities including museums, theaters, festivals, casinos, vineyards, cruises, outdoor excursions, and many dining and other entertainment options. Located along the Interstate 5 corridor, and near 2 international airports (SEATAC: 30 minutes; Portland: 2 hours), it is easy to travel nationally or internationally. Major tourist attractions include Mt. Rainier National Park, Pike Place Market, the Space Needle, Seattle waterfront, Point Defiance Park, Seattle and Tacoma zoos. The area is very family friendly, with science centers and children’s museums, water and amusement park, playgrounds, festivals, and family friendly dining.
For sports enthusiasts, Seattle has several professional sports teams, including the Seattle Seahawks, Seattle Mariners, Seattle Storm, Sounders FC, and Kraken. Additionally, Tacoma is home to the minor league baseball team, the Tacoma Rainiers and to the Triple A (a baseball affiliate or the Seattle Mariners). At the collegiate level, the University of Washington Huskies field of full complement of collegiate sports in the PAC 12.
Postdoctoral Residency Admissions, Support, and Initial Placement Data
Date Program Tables are updated: June 6, 2023
Program Disclosures
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Does the program or institution require students, trainees, and/or staff (faculty) to comply with specific policies or practices related to the institution’s affiliation or purpose? Such policies or practices may include, but are not limited to, admissions, hiring, retention policies, and/or requirements for completion that express mission and values?
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_X_ Yes
____ No
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If yes, provide website link (or content from brochure) where this specific information is presented:
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Applicants applying to the Army Postdoctoral Programs must meet basic entrance qualification standards established by the Department of Defense and the Army to serve as Active Duty Commissioned Officers. Such standards are designed to ensure that applicants are able to successfully perform their military duties. For example, applicants must meet medical qualification standards, age and citizenship requirements, physical fitness standards, and security qualification standards, in order to be accepted for military service. Under certain conditions, applicants who do not meet the qualification standards can be considered for a waiver. Each military Service makes independent decisions regarding waivers. It is possible to receive a waiver from one Service, but not from another. Each military Service conducts their own selection board and all waivers must be approved prior to the Service’s individual selection board.
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Postdoctoral Program Admissions
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Date Program Tables are updated: June 6, 2023
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Briefly describe in narrative form important information to assist potential applicants in assessing their likely fit with your program. This description must be consistent with the program’s policies on intern selection
and practicum and academic preparation requirements:
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The Madigan Army Medical Center Clinical Psychology Residency Program (CPRP) is a year-long, full-time
APA-accredited post-doctoral residency program. The philosophy of our program is based on the practitioner- scholar model. The CPRP provides advanced training in the professional skills of diagnosis, treatment, assessment, consultation, and supervision. Residents also receive training in Aeromedical psychology and forensic psychology. The primary aim of the Clinical Psychology Residency Program (CPRP) is to develop autonomous general practitioner psychologists capable of managing common challenges in both military and civilian practice while forming a professional identity as a clinical psychologist and Army Officer. Training focuses on mastery of clinical skills in therapy, assessment, consultation, empirically based clinical decision making, cultural competency and humility. The CPRP builds upon skills established during the internship year, with a specific focus on application of knowledge to leadership within a military environment and with a military population. The CPRP is designed to prepare residents for their expected first operational assignment as a Behavioral Health Officer (BHO). Residents receive extensive training to advance their military knowledge, skills and confidence, with an emphasis on command consultation, unit integration and Officership. Please also see our APPIC page for more information.
https://membership.appic.org/directory/display/1623
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Describe any other required minimum criteria used to screen applicants:
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Interested Active Duty applicants should speak with their Internship Program Director as early in the internship training year as possible to notify them of the intent to apply to Madigan's CPRP. All Active Duty applicants must submit the Post-Internship Assignment Preference Memorandum to the Psychology Consultant, Office of the Surgeon General (OTSG) no later than June 1 of that training year. Those requiring a Permanent Change of Station (PCS) to attend CPRP at Madigan will need the approval of the OTSG Psychology Consultant prior to applying. Current Active Duty applicants must also provide the following:
a. Copy of current Officer Records Brief (ORB)
b. Copies of all completed supervisor evaluation forms from internship
c. Copy of the most recent Army Physical Fitness Test score card
Civilian applicants interested in applying to the Madigan Clinical Psychology Residency Program must have completed an APA-accredited Clinical Psychology Internship Program and have completed all doctoral degree requirements by December 1 of the year preceding the start of the CPRP. Interested applicants will become Active Duty Army psychologists and will incur a service obligation upon commissioning. Particularly strong candidates demonstrate excellent academic records, excellent organizational skills, flexibility, and are quick to adapt and learn in order to be successful in demonstrating the program’s aims and competencies.
Interested civilian applicants should visit the following APPIC page for important details about the military residency programs, including application requirements at: https://www.appic.org/Postdocs/Universal-Psychology-Postdoctoral-Directory-UPPD/Detail/id/1887.
Civilian applicants must be able to meet the medical and administrative requirements to serve as an Active Duty Officer in the US Army Medical Service Corps. Applicants are required to contact an Army Health Care Recruiter to assist with this process. Please contact a recruiter as soon as possible during your application process. www.goarmy.com or 1-888-550-ARMY (2769).
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Financial and Other Benefit Support for Upcoming Training Year*
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Annual Stipend/Salary for Full-time Residents
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$92,505
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Annual Stipend/Salary for Half-time Residents
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NA
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Program provides access to medical insurance for resident?
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Yes
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No
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If access to medical insurance is provided:
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Trainee contribution to cost required?
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Yes
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No
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Coverage of family member(s) available?
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Yes
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No
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Coverage of legally married partner available?
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Yes
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No
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Coverage of domestic partner available?
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Yes
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No
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Hours of Annual Paid Personal Time Off (PTO and/or Vacation)
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30 days per year
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Hours of Annual Paid Sick Leave
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NA
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In the event of medical conditions and/or family needs that require extended leave, does the program allow reasonable unpaid leave to interns/residents in excess of personal time off and sick leave?
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Yes*
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No
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Other Benefits (please describe):
•$92,505 stipend above includes $58,200 base pay plus additional $34,308 annual compensation in the form of tax-free monthly stipend for housing (if residing off-post) and subsistence, calculated as an O-3 with 0-2 years of service without dependents living in Tacoma, WA (zip code 98431). Please see https://militarypay.defense.gov/Calculators/RMC-Calculator/ for more details on calculating military pay.
• *Sick leave may be unlimited with medical justification in accordance with DoD and Army policies.
• Periodic length-of-service pay increases and annual pay increases.
• Eligible for travel on military aircraft.
• Opportunities for continuing professional education (to include specialty fellowships).
• Full coverage medical and hospital benefits for you and your family, low cost $500,000 life insurance, noncontributory retirement and disability retirement pay.
• Payment of travel expenses and shipping charges for families and personal goods when moving to internship site and follow-on assignments.
• Post Exchange (department store) and commissary (grocery store) privileges with lower prices and tax savings.
• On post sports and recreation facilities, childcare, movie theaters, and no or low-cost recreational activities.
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*Note. Programs are not required by the Commission on Accreditation to provide all benefits listed in this table
Initial Post-Residency Positions
(Provide an Aggregated Tally for the Preceding 3 Cohorts)
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2019-2022
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Total # of residents who were in the 3 cohorts
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17
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Total # of residents who remain in training in the residency program
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5
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PD
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EP
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Academic teaching
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0
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0
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Community mental health center
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0
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0
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Consortium
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0
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0
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University Counseling Center
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0
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0
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Hospital/Medical Center
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0
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17
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Veterans Affairs Health Care System
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0
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0
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Psychiatric facility
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0
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0
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Correctional facility
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0
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0
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Health maintenance organization
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0
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0
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School district/system
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0
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0
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Independent practice setting
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0
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0
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Other
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0
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0
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Note: “PD” = Post-doctoral residency position; “EP” = Employed position. Each individual represented in this table should be counted only one time. For former trainees working in more than one setting, select the setting that represents their primary position.
*Revised: June 6, 2023
*Madigan’s Clinical Psychology Residency Program is accredited by the American Psychological Association (APA). This Residency Program was last accredited by APA in 2018. Our next site visit is scheduled to occur in 2028. Questions related to the program’s accredited status should be directed to the Commission on Accreditation:
Office of Program Consultation and Accreditation
American Psychological Association
750 1st Street, NE, Washington, DC 20002
Phone: (202) 336-5979 / Email: apaaccred@apa.org
Web: www.apa.org